NORTHEASTERN STATE UNIVERSITY COLLEGE OF OPTOMETRY
NPI 1790899219
Eyewear Supplier in Jay, OK

NPI Status: Active since August 19, 2006

Contact Information

1015 WASHBOURNE
JAY, OK
ZIP 74346
Phone: (918) 253-4271
Fax: (918) 253-3287

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  • Organization
  • Eyewear Supplier
  • CLIA Number: 37D2081616
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 02-19-2025

About NORTHEASTERN STATE UNIVERSITY COLLEGE OF OPTOMETRY

This page provides the complete NPI Profile along with additional information for Northeastern State University College Of Optometry, a provider established in Jay, Oklahoma operating as a Eyewear Supplier. The healthcare provider is registered in the NPI registry with number 1790899219 assigned on August 2006. The practitioner's primary taxonomy code is 332H00000X. The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Dr. George Edward Foster O.d. (Dean)

NPI
1790899219
Provider Name
NORTHEASTERN STATE UNIVERSITY COLLEGE OF OPTOMETRY
Entity Type
Organization
Location Address
1015 WASHBOURNE JAY, OK 74346
Location Phone
(918) 253-4271
Location Fax
(918) 253-3287
Mailing Address
1001 N GRAND AVE TAHLEQUAH, OK 74464
Mailing Phone
(918) 458-2109
Mailing Fax
(918) 253-3287
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-19-2006
Last Update Date
07-08-2008
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Eyewear Supplier

Taxonomy Code
332H00000X
Type
Suppliers
Taxonomy Description
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. GEORGE EDWARD FOSTER O.D.

Authorized Official Title
DEAN
Authorized Official Phone
(918) 456-5511

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
37D2081616
Facility Type
Physician Office
Certificate Effective Date
February 20, 2023
Certificate Expiration Date
February 19, 2025
Laboratory Director
NATHAN LIGHTHIZER
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Northeastern State University College Of Optometry on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1790899219
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271801691822
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 8 + 0 + 1 + 6 + 9 + 1 + 8 + 2 + 2 + 24 = 71
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 71 = 99

The NPI number 1790899219 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790899219, enumerated in the NPI registry as an "organization" on August 19, 2006

The provider is located at 1015 Washbourne Jay, Ok 74346 and the phone number is (918) 253-4271

This medical organization specializes in Eyewear Supplier with taxonomy code 332H00000X

The provider's CLIA number is 37D2081616 for a "physician office" facility with a CLIA Certificate of Accreditation. This is a CLIA certificate is issued on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing..

This NPI record was last updated on August 19, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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